Editor—The revised 2015 Difficult Airway Society (DAS) guidelines for the 'unanticipated difficult airway' include a standardized approach to performance of emergency front-of-neck access in the 'can't intubate, can't oxygenate' (CICO) scenario.1 We have subsequently changed how we educate colleagues in the management of a CICO scenario using the surgical technique as part of our airway update days and on the Aintree Difficult Airway Management course.
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